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Active NPI 1871038109 Individual Practitioner Male Practitioner

Derek Henderson

Physician Assistant • Everett, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derek Henderson is a certified Physician Assistant practicing in Everett, WA. With approximately 10 years of clinical experience since completing medical education in 2016, Derek Henderson delivers high-quality medical care to the local community at 3726 BROADWAY STE 201.

Derek Henderson is affiliated with Kittitas County Public Hospital Dist 1 and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3726 Broadway Ste 201

Everett, WA 982013788

Telephone 4253179119
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Everett, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -3.2 yrs vs City Avg
City Avg: 13.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
145 Specialists

Practicing in Everett, WA (3774 Statewide)

Telehealth Adoption Rate
15.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
95.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henderson (10 Years) 10 Yrs
Everett Specialty Average (13.2 Years) 13.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
11 11 $4130.00 $170.05

Medical Specialties & State Licenses

CMS Verified: 2021-02-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NH 1680

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Kittitas County Public Hospital Dist 1

603 S Chestnut St, Ellensburg, WA 989263875

Phone: 5099629841

Kittitas County Public Hospital Dist 1

201 Alpha Way, Cle Elum, WA 989221045

Phone: 5096745331

Kittitas County Public Hospital Dist 1

100 E Jackson Ave, Ellensburg, WA 989263692

Phone: 5099338777

Kittitas County Public Hospital Dist 1

611 S Chestnut St, Ellensburg, WA 989264815

Secondary Practice Locations

1700 13th St

Everett, WA 982011689

Phone: 4252612000

14989 Harvest Rd

Glencoe, MN 553367505

Phone: 3202939466

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Michael Oliver

Physician Assistant

NPI 1013493998
Dr. Alireza Anissipour , DO

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1033352968

Doctor of Osteopathic Medicine (D.O.)

Rebecca Souza , PA-C

Physician Assistant

NPI 1144277724

Physician Assistant (Certified)

Alena Sebryakova

Physician Assistant

NPI 1164260345
Victor Gajewski , OTR, L CHT

Occupational Therapist - Hand

NPI 1164451225

Occupational Therapist Registered, LCHT

NPI 1235376799

SURGICALFIRSTASSIS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2021

Physician Assistant (License #1680 in NH)

📍
Updated Practice Location May 07, 2018

Registered at 3726 BROADWAY STE 201, EVERETT, WA 982013788 (Tel: 4253179119)

📍
Updated Business Mailing Address May 07, 2018

Registered at 3726 BROADWAY STE 201, EVERETT, WA 982013788 (Tel: 4253179119)

NPI Profile Active December 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2016

Registered at 14989 HARVEST RD, GLENCOE, MN 553367505 (Tel: 3202939466)

📍
Updated Business Mailing Address December 22, 2016

Registered at 14989 HARVEST RD, GLENCOE, MN 553367505

👤
Provider Name / Credentials Updated December 22, 2016

Recorded as DEREK HENDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration December 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871038109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2016
Last Update: February 19, 2021
Sole Proprietor: No

Mailing Address

3726 Broadway Ste 201

Everett, WA 982013788

Phone: 4253179119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.